| Lone Star Circle Of Care | |
|
115 West Davilla Granger TX 76530 | |
| (512) 859-2251 | |
| (512) 859-2575 |
| Full Name | Lone Star Circle Of Care |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 115 West Davilla, Granger, Texas |
| Authorized Official Name and Position | Peter C Perialas (CEO) |
| Authorized Official Contact | 5128681124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Circle Of Care 1500 W University Ave Suite 103 Georgetown TX 78628-7108 Ph: (512) 868-1124 | Lone Star Circle Of Care 115 West Davilla Granger TX 76530 Ph: (512) 859-2251 |
| NPI Number | 1578515987 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578515987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |